Aesthetic Knowing in Pediatrics Nursing: A Philosophical Narrative Review

Document Type : review article

Authors

1 Department of Nursing, Community Nursing Research Center, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.

2 Student Research Committee, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.

Abstract

Aesthetic knowing represents a fundamental yet underexplored pattern of nursing knowledge, emphasizing meaning, interpretation, and relational engagement in care. In pediatric nursing, where children often communicate illness experiences through nonverbal and symbolic behaviors, empirical indicators alone may fail to capture the depth of these encounters. This philosophical narrative review sought to clarify the philosophical foundations of aesthetic knowing in pediatric care, delineate its conceptual dimensions, and explore its implications for practice and education. Drawing upon Dewey’s aesthetic theory, Gadamer’s hermeneutics, and Merleau-Ponty’s philosophy of embodiment, a comprehensive search across nursing, health sciences, and philosophical databases identified theoretical and conceptual sources relevant to aesthetic knowing and child nursing. Sixteen key publications were synthesized using an interpretive thematic approach. The findings conceptualize aesthetic knowing as an embodied, situational, and relational mode of understanding that enables pediatric nurses to interpret children’s lived experiences and respond ethically to vulnerability. It emerges not as mere intuitive empathy, but as a disciplined epistemological stance bridging ethics and interpretation in clinical practice. The integration of aesthetic knowing into pediatric nursing education and reflective practice may foster interpretive competence, enhance empathic responsiveness, and ultimately strengthen child-centered, humanistic care. This review contributes a clearer philosophical and practical framework for recognizing aesthetic knowing as a vital source of clinical wisdom in pediatric nursing.

Keywords


  1. Taghinezhad F, Mohammadi E, Khademi M, Kazemnejad A. Humanistic Care in Nursing: concept analysis using Rodgers' evolutionary approach. Iranian journal of nursing and midwifery research. 2022 Mar 1;27(2):83-91.
  2. Mohamed RA, Alhujaily M, Ahmed FA, Nouh WG, Almowafy AA. Nurses' experiences and perspectives regarding evidence‐based practice implementation in healthcare context: A qualitative study. Nursing open. 2024 Jan;11(1):e2080.
  3. Shahmohammadi S, Mangolian shahrbabaki P, Radmehr M, Shahraki SK. The effectiveness of aesthetic care training on nurses’ perceptions of end-of-life care in patients with cancer: a quasi-experimental study. BMC Palliative Care. 2024 Feb 8;23(1):34.
  4. Rafii F, Nasrabadi AN, Tehrani FJ. How nurses apply patterns of knowing in clinical practice: a grounded theory study. Ethiopian journal of health sciences. 2021 Jan;31(1):139.
  5. Wanko Keutchafo EL, Kerr J, Baloyi OB. A model for effective nonverbal communication between nurses and older patients: a grounded theory inquiry. InHealthcare 2022 Oct 22 (Vol. 10, No. 11, p. 2119). MDPI.
  6. Kongsuwan W, Dahal P. A hermeneutic phenomenological study of aesthetics in nursing practice among hospitalized cancer patients in Nepal. Res Theory Nurs Pract. 2023 May 1;37(2):163-79.
  7. Kleye I, Sundler AJ, Darcy L, Karlsson K, Hedén L. Children's communication of emotional cues and concerns during a preoperative needle procedure. Patient Education and Counseling. 2022 Jun 1;105(6):1518-23.
  8. Cho IY, Han AY. Neonatal nurses' educational needs in a family-centered partnership program: Five ways of knowing. Nurse Education Today. 2024 Feb 1;133:106028.
  9. Brackenbury J. The importance of a holistic approach in aesthetic nursing. Journal of Aesthetic Nursing. 2020 Dec 2;9(10):452-.
  10. Ambushe SA, Awoke N, Demissie BW, Tekalign T. Holistic nursing care practice and associated factors among nurses in public hospitals of Wolaita zone, South Ethiopia. BMC nursing. 2023 Oct 18;22(1):390.
  11. Khooshab E, Khorasani P, Rakhshan M, Yazdannik A, BakhtiyarNasrabadi H. Bridging the gaps in patient education through aesthetic-based education: A concept analysis study. Journal of Education and Health Promotion. 2024 Apr 1;13(1):153.
  12. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. bmj. 2021 Mar 29;372.
  13. Hua W, Guo N, Zhu D, Wu Y, Tang W, Fang Q. The undergraduate nursing students' experience and perceptions of aesthetics education: A qualitative study. Nurse Education Today. 2025 May 1;148:106642.
  14. Ansariniaki M, Alaei S, Khoshdast Kakhki M, Mirmohammadkhani M. Caring behavior: perspectives from nurses and parents of hospitalized children. BMC pediatrics. 2025 Oct 8;25(1):784.
  15. Kucirkova N, Kamola M. Children's stories and multisensory engagement: Insights from a cultural probes study. International Journal of Educational Research. 2022 Jan 1;114:101995.
  16. Betriana F, Kongsuwan W, Mariyana R. Aesthetics in nursing practice as experienced by nurses in Indonesia: A phenomenological study. Belitung Nursing Journal. 2022 Feb 22;8(1):20.
  17. Affifi R. Aesthetic knowing and ecology: cultivating perception and participation during the ecological crisis. Environmental Education Research. 2024 Jul 2;30(7):1041-60.
  18. Spuzic S. Knowledge, ethics, and aesthetics. Ethics, and Aesthetics (September 30, 2024). 2024 Sep 30.
  19. Kneeland TM, Giambra BK, Kilanowski JF, LaFond C, Pridham K, Snedden T. Issues in pediatric nursing and research education. Journal of Pediatric Nursing. 2025 Sep 1;84:276-83.
  20. Armitage R. Bullying in children: impact on child health. BMJ paediatrics open. 2021 Mar 11;5(1):e000939.
  21. Reed PG. The epistemic dignity of knowledge developed through nursing practice. Nursing Science Quarterly. 2021 Jan;34(1):39-44.
  22. Biggeri M, Cuesta JA. An integrated framework for child poverty and well-being measurement: Reconciling theories. Child Indicators Research. 2021 Apr;14(2):821-46.
  23. Kongsuwan W, Yasuhara Y, Tanioka T, Locsin R, Osaka K. Aesthetic expression of caring in nursing among Japanese undergraduate nursing students. Nurse education today. 2021 Oct 1;105:105031.
  24. Appiah EO, Appiah S, Kontoh S, Mensah S, Awuah DB, Menlah A, et al. Pediatric nurse-patient communication practices at Pentecost Hospital, Madina: A qualitative study. International Journal of Nursing Sciences. 2022 Oct 1;9(4):481-9.
  25. Galvez BL, Kongsuwan W, Schoenhofer SO, Hatthakit U. Aesthetic expressions as data in researching the lived-world of children with advanced cancer. Belitung Nursing Journal. 2021 Dec 6;7(6):549.
  26. Rahardjanto A, Hudha AM, Permana TI. Ecocultural practices in East Java, Indonesia: A hermeneutic phenomenological study on “Reresik Kali” as local wisdom for river conservation. Social Sciences & Humanities Open. 2025 Jan 1;12:102176.
  27. Varvani Farahani P, Ozturk C. Insights into pediatric nursing; An in-depth examination of problems and challenges: A systematic review. Journal of Pediatrics Review. 2024 Jul 10;12(3):213-22.
  28. Safavi F, Yousefi Z, Bavani SM, Khodadadi E. The relationship between nurses’ ethical reasoning with the quality of nursing care. International Journal of Applied and Basic Medical Research. 2022 Jul 1;12(3):196-202.
  29. Radmehr M, Dehghan M, Farokhzadian J, Shahraki SK. Validation of the esthetics of nursing care scale among Iranian nurses. BMC nursing. 2025 Aug 22;24(1):1101.
  30. Liu F, Yang Y, Zhou H, Mo L, Leng H, Cui C. Effectiveness of narrative pedagogy in developing nursing undergraduates’ humanistic care ability for hospitalized children: A mixed-method study. Heliyon. 2023 Apr 1;9(4).